My Sanford Chart allows you secure online access to your personal health information and your child's health information. It's available anywhere you have internet access. There is no cost to you and registering is quick and simple.
As a baby boy grows inside his mother, he develops testicles. Early in his development, his testicles are in his belly. Normally, before he is born, his testicles move down into his scrotum, the sac that hangs below the penis. When one testicle does not move into the scrotum as it should, the baby has an undescended testicle. In rare cases, both testicles are undescended.
It is most common in baby boys who were born before their due date or who were very small at birth.
Doctors don't really know what causes an undescended testicle. This common condition runs in some families (can be inherited).
Most of the time, the testicle descends (drops) on its own by the time the baby is 3 months old. If your baby's testicle hasn't dropped by the time he is 6 months of age, your doctor may suggest treatment.
An undescended testicle doesn't cause pain or other symptoms. The scrotum may look a little smoother or less developed on one side, or the side without a testicle may look smaller and flatter. You can't feel the testicle in the scrotum on the side where it hasn't descended.
At newborn and well-baby visits, your doctor will check your baby's scrotum.
Some other conditions are closely related to undescended testicles, such as an ectopic or retractile testicle. In both of these conditions, the testicle is in an abnormal position in the groin or scrotum. Your doctor will take care to make the correct diagnosis so your child can get the right treatment.
Usually doctors recommend a wait-and-see approach for newborns. If the testicle hasn't dropped on its own within 6 months, your doctor may recommend surgery (orchiopexy or orchidopexy). Surgery is done when the baby is 9 to 15 months old. It is safe and effective and has few risks. Most babies recover quickly.
When babies have a testicle that can't be felt, doctors may do a different surgery that needs only a small cut (laparoscopy).
Another treatment is hormone therapy. It may cause the testicle to drop down into the scrotum. If it works, surgery isn't needed. But it doesn't always work, and it may cause side effects.
Treatment is important, because having an undescended testicle increases the risk of:
Learning about undescended testicles:
|American Academy of Family Physicians: FamilyDoctor.org|
|P.O. Box 11210|
|Shawnee Mission, KS 66207-1210|
The website FamilyDoctor.org is sponsored by the American Academy of Family Physicians. It offers information on adult and child health conditions and healthy living. There are topics on medicines, doctor visits, physical and mental health issues, parenting, and more.
|KidsHealth for Parents, Children, and Teens|
|Nemours Home Office|
|10140 Centurion Parkway|
|Jacksonville, FL 32256|
This website is sponsored by the Nemours Foundation. It has a wide range of information about children's health—from allergies and diseases to normal growth and development (birth to adolescence). This website offers separate areas for kids, teens, and parents, each providing age-appropriate information that the child or parent can understand. You can sign up to get weekly emails about your area of interest.
|Urology Care Foundation: The Official Foundation of the American Urological Association|
|1000 Corporate Boulevard|
|Linthicum, MD 21090|
UrologyHealth.org is a website written by urologists for patients. Visitors can find specific topics by using the "search" option.
The website provides information about adult and pediatric urologic topics, including kidney, bladder, and prostate conditions. You can find a urologist, sign up for a free quarterly newsletter, or click on the Urology A–Z page to find information about urologic problems.
Other Works Consulted
- Barthold JS (2012). Abnormalities of the testis and scrotum and their surgical management. In AJ Wein et al., eds., Campbell-Walsh Urology, 10th ed., vol. 4, pp. 3557–3596. Philadelphia: Saunders.
- Pettersson A, et al. (2007). Age at surgery for undescended testis and risk of testicular cancer. New England Journal of Medicine, 356(18): 1835–1841.
- Walsh TJ, et al. (2007). Prepubertal orchiopexy for cryptorchidism may be associated with lower risk of testicular cancer. Journal of Urology, 178(4, Part 1): 1440–1446.
- Zeitler PS, et al. (2012). Endocrine disorders. In WW Hay Jr et al., eds., Current Diagnosis and Treatment: Pediatrics, 21st ed., pp. 1011–1052. New York: McGraw-Hill.
|Primary Medical Reviewer||John Pope, MD - Pediatrics|
|Specialist Medical Reviewer||Peter Anderson, MD, FRCS(C) - Pediatric Urology|
|Last Revised||December 28, 2012|
To learn more visit Healthwise.org
© 1995-2013 Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.